• 지역사회간호학회지
• /
• 제14권3호
• /
• pp.488-495
• /
• 2003

Purpose: This study was attempted to provide the basic data in order to develop a supportive system for the family by investigation of the general and disability-related features of the industrial accident disabled and their family function. Method: Three hundred and forty six industrial accident disabled were randomly selected among those who resided in the Seoul, Incheon, and Gyeonggi areas, and who were confirmed as disabled according to its severity from the first to fourteenth grade from January, 1998 to December, 2000. The data were collected for one month from August 1 to August 31, 2001. Each study team consisted of two members out of 20 researchers and they interviewed the disabled individually by visiting their homes. Collected data were analyzed using frequency, percentages, t-test, ANOVA, and Correlation, etc. Results: The average score for family function was 102.60. The adaptability represented the highest score among the concepts dependent on the family function. The concepts were cohesion, adaptability and communication, which scored as 33.59, 35.38, 33.34, respectively. The family function was significantly different in education, marital status and subjective health status. In particular, the family function was excellent from the industrial accident disabled who had graduated from middle school, was married, and felt healthy. Depression and quality of life were other factors, which were also correlated significantly with the family function. The lower the degree of depression and the better the quality of life, the better the family function. Conclusion: The industrial accident disabled who had been in poor health or faced with difficulties in daily activities even after the therapy for the disability was completed. In particular, their family always had a great burden to care for the disabled and to take financial responsibility. Therefore, the rehabilitation program for the disabled should be family oriented.

• 한국직업건강간호학회지
• /
• 제12권2호
• /
• pp.164-170
• /
• 2003

The purpose of this study is to Identify the amount of ability of daily living, depression and quality of life and to examin the relationship among ability of daily living, depression and quality of life of the Indestrial Accident Disabled. Three hundred and forty five industrial accident disabled were randomly selected among who have stayed in Seoul, Incheon, and Gyeonggi area and who were confirmed as the disabled classified according to its severity from the first to fourteenth grade between January, 1998 to December, 2000. Data were collected for one month between August 1, 2001 to August 31, 2001. Each study team was consisted of two members of researcher among 20 members and interviewed the disabled individually by visiting their home. Collected data were analyzed from the frequency, percentages, Correlation, etc. The mean score of ability of daily living was 136.3 out of possible 147. The mean score of depression was 31.5 out of possible 64. The mean score of quality of life was 20.1 out of possible 32. The relationship between ability of daily living and depression was significantly correlated and between depression and quality of life was significantly correlated and between ability of daily living and quality of life was significantly correlated. The industrial accident disabled had been in bad health or faced by difficulties in daily activities even after the completion of therapy for the disability. Especially, they are depressed and perceive lowly their quality of life. So, the rehabilitation program for the disabled should be psychosocial oriented program and a comprehensive service.

• 한국직업건강간호학회지
• /
• 제17권1호
• /
• pp.5-13
• /
• 2008

Purpose: The purpose of this study is to identify Activities of Daily Living(ADL) of industrial accident disabled with a caregiver and to evaluate the degree of satisfaction with services according to kinds of caregiver, professional or non-professional. Method: Data was collected from 178 patients in three workers' accident medical corporations of H, A and D cities from July to August, 2006. Five inspectors interviewed with the disabled by visiting the hospital. Collected data was analyzed for the frequency, percentages, t-test, etc. Results: The average score of ADL which ranged from 1 to 7 was 3.6. The 51.5 percent of caregivers for industrial accident disabled were non-professional and the 48.5 percent of caregivers were professional. 50.9 percent of the reason for the family caregivers was because of economical one. The caregiver satisfaction degree was 3.7 out of 4. The satisfaction degree with the professional caregivers was significantly higher than that with non-professional family caregivers for their excellent knowledge and techniques. Conclusion: A nursing expenses for the industrial accident disabled was intended to provide appropriate nursing services for the patient and so, it should not be a kind of income. So, the system for caring services should be investigated and the qualification of caregivers should be classified according to the health condition of the patient or ADL.

• 대한안전경영과학회지
• /
• 제15권4호
• /
• pp.1-5
• /
• 2013

Employee suffered by industrial accident will face more economically disadvantaged and mentally tough life than life of employee before industrial disaster. however, in this study, we will study for welfare and reasonable compensation about how a country or society helps disaster victims in the industry put a little more unhappy because of the disaster of the injustice. I am to look into the rational compensation and welfare of the industrial accident disabled in terms of linking and expanding into social corporation and preparing policies of selecting major companies and prizing policies that can help the disabled if not in direct and monetary ways.

• 한국직업건강간호학회지
• /
• 제16권2호
• /
• pp.188-196
• /
• 2007

Purpose: The objective of this study was to evaluate long-term care needs using RAI MDS-HC and MI-CHOICE among the disabled workers. Methods: Data were obtained from 45 personal care recipients with the disability of mental and nervous system, and analyzed using SAS 9.1 by applying t-test, ${\chi}^2$ test, or fisher's exact test. Results: Only 'bed mobility' and 'indoor ambulation' items of ADL and problem activity were statistically significant factors by the level of personal care benefit. By MICHOICE grouping, 20.0 percent of subjects belonged to nursing home group, 51.5 percent were home care service, 28.9 percent were intermittent personal care. Conclusion: Personal care services in industrial accident compensation insurance have been categorized with two groups according to level of disability. But our results could contribute to provide personal care service according to the long term care needs.

• 산업융합연구
• /
• 제21권10호
• /
• pp.167-180
• /
• 2023

본 연구는 산업재해로 인해 신체장해가 남은 원직복귀 산업재해 근로자의 의료이용에 영향을 미치는 요인을 파악하여 의료이용의 접근성을 높이기 위한 기초자료를 제공하는데 목적이 있다. 연구대상은 2021년 근로복지공단 패널조사 자료에서 장해등급을 받고 원직복귀한 산업재해근로자 457명이다. 자료분석은 SPSS WIN 26.0를 이용하여 위계적 다중회귀분석을 실시하였다. 연구결과는 일용직, 하위층 경제상태, 육체적 활동 제약, 주관적 건강상태, 만성질환이 외래이용 횟수에 영향을 미쳤다. 그리고, 일상생활 지원자, 화상, 육체적 활동 제약이 의료비 지출에 영향을 미쳤다. 따라서 원직복귀 산업재해 근로자 의료이용의 접근성을 높이기 위해 사업장 내 보건관리자의 역할 확대와 사업주가 직장복귀 계획 수립시 의료이용 계획을 포함해야 하며, 아프면 쉴 수 있는 유급병가제도 도입에 관한 연구가 필요하다. 화상치료 및 재활급여 범위의 확대 방안을 마련하여 경제적 부담을 줄이는 것이 필요하다.

• Safety and Health at Work
• /
• 제13권3호
• /
• pp.279-285
• /
• 2022

Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

• 한국직업건강간호학회지
• /
• 제12권1호
• /
• pp.80-88
• /
• 2003

Rehabilitation has emerged in recent years as major topic for the handicaped in industrial accident compensation insurance(IACI). Specially social support helps the handicaped adjust themselves psychosocially to handicap. This study was conducted to examine different contents and perceived social support, and provide guidlines for specific and proper rehabilitation for the handicaped of IACI. This study is a descriptive study which were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home-visit subjects in the first stage included the handicaped of IACI. Finally data were collected from 338 subjects and analyzes by SPSS/PC+10. The instruments of this study were the perceived social support scale which developed by Lee(1996). These scales in the form of 5-point Likert type, consists of 20 items, including 3 subscales of emotional support, informational support, instrumental support. The mean score of social support was 57.2, emotional support 21.0, informational support 21.2 and instrumental support 15.2. The mean of depression for psychosocial factors is 37.5. Threre were significant differences in total perceived social support; age, job status, handicaped degree in IACI, post-traumatic complication and use of instrument. Emotional support was significant differences; age, number of dependent family, job status, handicaped degree in IACI, use of instrument and depression. Informational support was significant differences; job status, posttraumatic complication, use of instrument and depression. Instrumental support was significant differences; sex, job status, handicaped degree in IACI, use of instrument, and depression. The current system of the Labor Welfare institute is not appropriate for solving health problems of the handicaped in IACI. Therefore, it is necessary to develop the plan which can provide the handicaped in IACI high-quality rehabilitation services, so that they must use those services in the community without being dependent on hospitals. This study proposes home visit nursing services as the way to provide various health services within community for the handicaped in IACI.

• 한국산학기술학회논문지
• /
• 제15권5호
• /
• pp.2559-2566
• /
• 2014

최근 수도권 전동차 구간에서 차량과 승강장사이의 공간에 장애우, 어린이 등 교통약자의 발빠짐 등으로 인한 안전사고가 빈번히 발생하고 있다. 특히 곡선승강장에서는 차량과의 간격이 최대 260mm까지 존재하므로 교통약자를 포함한 승객의 안전한 교통이동권 확보가 중요하며, 승강장과 전동차 사이 공간에 대한 인터페이스를 위한 니즈기술로서, 승강장 안전발판이 필요하다. 본 연구에서는 승강장 안전발판의 제작 및 기능 요구사항을 검토하여 고장으로 인한 차량과의 충돌 등 비상 상황에 대응할 수 있는 충돌 안전성과 운영자 친화적인 유지보수용이성을 고려한 개념설계를 실시하였다. 또한 다양한 요구조건을 고려하여 각 단계별 안전발판의 동작과정 및 제어 흐름도를 제시하였다.

• 대한지역사회작업치료학회지
• /
• 제1권1호
• /
• pp.79-89
• /
• 2011

환경적 오염 및 산업화 등으로 인한 직 간접적인 문제는 장애인, 급 만성질환자 등의 수를 증가시키는 요인이 된다. 이로 인해 발생하는 장애아동의 수도 성인과 비슷한 비율로 매년 증가하고 있다 특히, 발달장애는 전체 아동의 약 5~10%정도에서 발생되는 높은 유병률을 보이고 있다. 발달장애 아동에게 적용하는 치료로는 작업치료, 물리치료, 언어치료, 심리치료, 미술치료 등이 있다. 시지각이란 시각 기관을 통해 외부환경을 인지하는 기능으로 일상생활에서 일어나는 대부분의 행동들이 시지각과 연관된다. 그러나 발달장애 아동은 충분한 시지각의 발달이 이루어지지 않기 때문에 일상과제 수행 면에 많은 영향을 초래하게 된다. 이러한 이유로 아동 작업치료 영역에서 시지각에 대한 평가와 치료에 관한 이해는 매우 중요하다고 할 수 있다. 시지각 기능을 향상시키기 위한 다양한 치료 방법 중에는 감각통합 훈련, 시지각 훈련 프로그램, 수예공작 프로그램 등이 있다. 특히, 수예공작은 주로 손을 사용하여 무엇인가를 만드는 대표적인 활동으로 누구에게나 적용할 수 있다. 뇌에 관한 연구가 활발해지면서 수예공작 활동을 통해 뇌기능을 사용하고 그 기능에 도움을 줄 수 있음이 증명되었으며, 소근육운동 또는 세밀하고 정확한 움직임을 필요로 하는 활동을 수행할 때 시지각 기술이 기반이 되기 때문에 수예공작을 통한 손 기능의 반복적인 사용은 두뇌기능을 발달시켜 시지각 기능 향상에 기여할 것임을 기대 할 수 있다. 이것은 수예공작이 분명한 치료적 가치가 있음을 시사한다. 또한 작업치료 영역에서 시지각의 발달과 시지각의 장애에 대한 중재가 큰 영역을 차지함에도 불구하고 그에 대한 연구가 매우 부족하다. 따라서 본 연구에서는 학위논문의 타당성 검증을 위한 사전연구로서 발달장애 아동의 수예공작 프로그램 수행의 필요성을 소고하고자 한다.